Talent.com
Senior Claims Manager - TN & KY Workers' Compensation

Senior Claims Manager - TN & KY Workers' Compensation

Great American Insurance GroupAlbuquerque, NM, US
3 days ago
Job type
  • Full-time
  • Part-time
Job description

Strategic Comp Senior Claims Manager

Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow.

At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best.

Does your claims management job feel stale? A process driven organization can lose sight of the true purpose of managing claims good outcomes on each claim. Managing in that processing environment can feel robotic.

Strategic Comp is a growing workers' compensation insurer with dedication to and pride in outstanding claims outcomes. Our profitability proves that our approach works. Most of our strongest competitors over the years, all of them process driven in their claims handling, are no longer in business.

Our employees at Strategic Comp DO make a difference and feel appreciated for it. In fact, we received 98% rating for overall job satisfaction from the participants in our last employee survey. This clearly indicates the passion and energy our staff has for our company and for the job they do. A big reason for these successes is due to our careful matching of the right job with the right person.

Strategic Comp is part of Great American Insurance Group, which was established in 1872. Based in Cincinnati, Ohio, the operations of Great American Insurance Group are engaged primarily in property and casualty insurance focusing on specialty commercial products for businesses. The members of the Great American Insurance Group are subsidiaries of American Financial Group, Inc. AFG's common stock is listed and traded on the New York Stock Exchange ("NYSE") and NASDAQ under the symbol "AFG".

We insure workers' compensation coverage for large companies, using our deductible program. Our service in claims and loss control is second to none. We've found that a large majority of our customers feel the way our employees do. Our renewal retention is 90+%, meaning our customers don't want to leave us either.

Our approach to claims handling is smart, proactive, well-thought-out, and carefully orchestrated. To make sure that this happens on EVERY claim, we need strong managers overseeing the claims process and customer service. The result of this approach is that our renewal retention is outstanding, as is our low employee turnover. Once our clients and employees experience our way of working, they want no substitute.

Here's what you would be doing if hired for the position. Strategic Comp is currently searching for a Senior Claims Manager who will be responsible for the oversight and activities of a team of claim professionals. The person hired for this position will be responsible for the day-to-day work and activities of their team. Additionally, the Senior Claims Manager will be responsible for the performance, development and coaching of their staff, including continuous learning and development of their team.

The Senior Claims Manager will primarily work from their home and will be required to attend tri-annual claim meetings with an overnight stay.

Responsibilities

We are looking for a unique person in our claims managers. We need someone who will help and direct when needed, a group of technically strong, carefully selected senior-level adjusters to :

  • Focus on fresh, creative approaches on every claim
  • Determine on each claim the need for attorneys, surveillance, and nurse case managers, and then assign, direct, and monitor the vendor
  • Communicate effectively and develop strong relationships with their team members
  • Gain consensus from our insureds regarding claim strategies
  • Ensure compliance with required statutes and regulations

Physical Requirements

  • Sedentary (requires prolonged sitting, continuous use of computer)
  • Travel (requires some overnight travel)
  • Qualifications

  • Bachelor's degree preferred
  • A minimum of 10 to 13 years of diverse experience in Tennessee and Kentucky workers' compensation claims handling is required
  • Minimum of 4 to 6 years of claims leadership experience managing claim adjusters in Tennessee and Kentucky is required
  • Solid background in coverage analysis, reserving, claims investigation, and litigation management is required
  • Prior work with large or national accounts is required
  • Candidate location in Tennessee or Kentucky is preferred but not required
  • Business Unit : Strategic Comp

    Salary Range : $115,000.00 - $125,000.00

    Benefits : Compensation varies by role, position level, and location. Individual pay is influenced by skills, education, training, certifications, experience, and the role's scope and complexity, along with business needs. We offer a competitive Total Rewards package, including medical, dental, and vision plans starting on day one, PTO, paid holidays, commuter benefits, an employee stock purchase plan, education reimbursement, paid parental leave / adoption assistance, and a 401(k) plan with company match. These benefits are available to eligible full-time and part-time employees.

    Your recruiter can provide more details about our total rewards and specific compensation ranges during the hiring process.

    Create a job alert for this search

    Claim Manager • Albuquerque, NM, US

    Related jobs
    • Promoted
    Senior Environmental Technical Claims Specialist

    Senior Environmental Technical Claims Specialist

    Argonaut Management Services, IncAlbuquerque, NM, United States
    Full-time
    Argo Group International Holdings, Inc.American National, US based specialty P&C companies, (together known as BP&C, Inc. Brookfield Wealth Solutions, Ltd.BWS"), a New York and Toronto-listed public...Show moreLast updated: 30+ days ago
    • Promoted
    VP, Clinical Operations

    VP, Clinical Operations

    Molina HealthcareRio Rancho, NM, United States
    Full-time
    Job Description Job Summary Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of c...Show moreLast updated: 7 days ago
    • Promoted
    ESIS Senior Claims Representative, WC

    ESIS Senior Claims Representative, WC

    ChubbAlbuquerque, NM, US
    Full-time
    Focus on the core content of the job post, removing all extra metadata, navigation mentions, and redundant headers.Keep the content beautiful and high signal to noise ratio.Show moreLast updated: 30+ days ago
    • Promoted
    Specialist, Appeals & Grievances

    Specialist, Appeals & Grievances

    New Mexico StaffingRio Rancho, NM, US
    Full-time
    Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized representatives in accordance with the...Show moreLast updated: 11 days ago
    • Promoted
    • New!
    Manager, Member Services

    Manager, Member Services

    Veterans StaffingRio Rancho, NM, US
    Full-time
    Provides customer support and stellar service to meet the needs of Molina members and providers.Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in thei...Show moreLast updated: 20 hours ago
    • Promoted
    Workers Compensation Claims Specialist, South Region

    Workers Compensation Claims Specialist, South Region

    Liberty Mutual InsuranceAlbuquerque, New Mexico, United States
    Full-time
    Schedule : Full-Time Salary Range : USD $49000.Job Category : Claims Description At Liberty, you'll thrive in a hybrid setting that fosters in-person collaboration, innovation and growth.This approach...Show moreLast updated: 9 days ago
    • Promoted
    Unit Manager, RN

    Unit Manager, RN

    Bear Canyon Rehabilitation CtrAlbuquerque, NM, United States
    Full-time
    Lead With Heart - Join Bear Canyon Rehabilitation as Our Next RN Unit Manager!.At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and ...Show moreLast updated: 3 days ago
    • Promoted
    Workers' Compensation Claims Adjuster (CONTRACT)

    Workers' Compensation Claims Adjuster (CONTRACT)

    Argonaut Management Services, IncAlbuquerque, NM, United States
    Full-time
    Argo Group International Holdings, Inc.American National, US based specialty P&C companies, (together known as BP&C, Inc. Brookfield Wealth Solutions, Ltd.BWS"), a New York and Toronto-listed public...Show moreLast updated: 19 days ago
    Claims Investigator - Experienced

    Claims Investigator - Experienced

    Command InvestigationsAlbuquerque, NM, US
    Full-time
    Quick Apply
    Seeking experienced investigators with commercial or personal lines experience, with multi-lines preferred to include AOE / COE, Auto, and Homeowners. SIU experience is highly desired, but not require...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Director of Rehab

    Director of Rehab

    Powerback RehabilitationPueblo of Sandia Village, NM, US
    Full-time +1
    Overview : Canyon Transitional Rehab Has A Full-Time Director of Rehab (DOR) Opportunity! At Powerback, we're on a mission to improve lives. As the leader in physical, occupational, speech, and respi...Show moreLast updated: 17 hours ago
    Work Comp Claims Rep I

    Work Comp Claims Rep I

    AMERINDSanta Ana Pueblo, New Mexico, United States, 87004
    Full-time
    Quick Apply
    AMERIND is a federally chartered, tribally owned corporation, formed under Section 17 of the Indian Reorganization Act (25 U. Members, the governmental units of federally recognized Tribal Nations t...Show moreLast updated: 2 days ago
    • Promoted
    Associate Analyst, Claims Research

    Associate Analyst, Claims Research

    New Mexico StaffingRio Rancho, NM, US
    Full-time
    Provides entry level analyst support for claims research activities.This role plays a pivotal role in ensuring the timely and accurate resolution of provider-submitted claims issues.This role requi...Show moreLast updated: 12 days ago
    • Promoted
    • New!
    Program Manager, Healthcare Services - Clinical Systems

    Program Manager, Healthcare Services - Clinical Systems

    Molina HealthcareAlbuquerque, NM, US
    Full-time
    Provides subject matter expertise and leadership to healthcare services function - providing support for project / program / process design, execution, evaluation and support, and ensuring compliance w...Show moreLast updated: 2 hours ago
    • Promoted
    • New!
    Bilingual Property & Casualty Licensed Insurance Sales Representative - Remote

    Bilingual Property & Casualty Licensed Insurance Sales Representative - Remote

    Teleperformance USAAlbuquerque, NM, United States
    Remote
    Full-time
    TP is a global, digital business services company.We deliver the most advanced, digitally powered business services to help the world’s best brands streamline their business in meaningful and susta...Show moreLast updated: 10 hours ago
    • Promoted
    Director, Provider Data Management - Inventory Management - Remote

    Director, Provider Data Management - Inventory Management - Remote

    New Mexico StaffingRio Rancho, NM, US
    Remote
    Full-time
    Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases.Maintains critical provider information on all claims and provider databases.Sy...Show moreLast updated: 11 days ago
    • Promoted
    Associate Analyst, Claims Research

    Associate Analyst, Claims Research

    Molina HealthcareRio Rancho, NM, United States
    Full-time
    Provides entry level analyst support for claims research activities.This role plays a pivotal role in ensuring the timely and accurate resolution of provider-submitted claims issues.This role requi...Show moreLast updated: 7 days ago
    • Promoted
    Director, Health Systems

    Director, Health Systems

    KariusAlbuquerque, NM, US
    Full-time
    The Director, Health Systems is a pivotal leadership role responsible for developing and executing strategies to expand the adoption of the Karius Test across Health Systems and IDNs.This individua...Show moreLast updated: 3 days ago
    Center Manager

    Center Manager

    Fast Track HiringLos Lunas, New Mexico, United States
    Full-time
    Quick Apply
    Available (Work authorizations / sponsorships offered).Join a forward-thinking rehab provider as a Center Manager.We are seeking a licensed Physical Therapist (PT) or Occupational Therapist (OT) who ...Show moreLast updated: 30+ days ago